EL DORADO SPRINGS RESIDENTIAL CARE (NPI# 1083946677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083946677 |
| Entity Type | Organization |
| Organization Name | EL DORADO SPRINGS RESIDENTIAL CARE |
| Practice Address |
805 N Jackson St El Dorado Springs MO 64744-2912 |
| Practice Telephone | 4178764278 |
| Mailing Telephone | 4178764278 |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2010-02-05 |
| Authorized Official Name | ANN L AMOS (OWNER) |
| Authorized Official Telephone | 4178764278 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | 037718 | MO | Nursing & Custodial Care Facilities |
| Street Address |
805 N JACKSON ST |
| City | EL DORADO SPRINGS |
| State | MO |
| Zip Code | 64744-2912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295251742 | Rachel Kauffman | Pharmacist | 1403 S. Park St., El Dorado Springs, MO 64744 | 2017-08-16 |
| 1457898603 | Stephanie Louise Miller | Nurse Practitioner | 322 E Hospital Rd, El Dorado Springs, MO 64744 | 2017-01-26 |
| 1902200645 | Kimberly Denise Souza | Nurse Practitioner | 1317 South Hwy. 32, El Dorado Springs, MO 64744 | 2014-10-09 |
| 1376843714 | Sandra Jeanne Moore | Registered Nurse | 107 W Broadway, Pathway's Behavioral Health Care, Eldorado Springs, MO 64744 | 2010-11-02 |
| 1275674715 | Michael Lee Housh | Dentist | 605 E Hospital Road, Suite #1, El Dorado Springs, MO 64744 | 2007-02-09 |
| 1932269446 | State of Missouri | Case Management | 1301 Industrial Prkwy E, El Dorado Springs, MO 64744 | 2006-12-12 |
| 1720195845 | Wilkinson Pharmacy Inc | Pharmacy | 200 E Hwy 54, El Dorado Springs, MO 64744 | 2006-08-24 |
| 1881608685 | Cedar County Memorial Hospital | Clinic/Center | 1317 S. Highway 32, El Dorado Springs, MO 64744 | 2006-07-28 |
| 1942243639 | Todd P. Hill | Dentist | 107 Broadway Street, El Dorado Springs, MO 64744 | 2006-06-13 |
| 1902379266 | El Dorado Vision LLC | Optometrist | 701 E Hospital Rd, El Dorado Springs, MO 64744 | 2019-01-09 |
| Find all providers in zip 64744 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706603 | Heaven's Hope LLC | Custodial Care Facility | 25300 Rio Road, Richland, MO 65556 | 2020-10-06 |
| 1083249155 | Goggin Boarding Home, LLC | Custodial Care Facility | 620 Country Road 40, Caledonia, MO 63631 | 2020-03-09 |
| 1588195358 | Right Care In-home Health, LLC | Custodial Care Facility | 3151 Fee Fee Road, Bridgeton, MO 63044 | 2017-03-23 |
| 1811359466 | Whispering Pines Senior Living L.L.C. | Custodial Care Facility | 4904 E Wellridge Ln, Joplin, MO 64801-8793 | 2016-03-23 |
| 1043609381 | Sunshine Rc LLC | Custodial Care Facility | 541 Rock Rd, Bourbon, MO 65441-6324 | 2015-01-09 |
| 1831535301 | Mcd Care, LLC | Custodial Care Facility | 351 Keith St, Park Hills, MO 63601-2049 | 2013-05-10 |
| 1740533322 | Cari-care Support Services, LLC | Custodial Care Facility | 2 Jamestown Farm Dr, Florissant, MO 63034-1401 | 2012-10-19 |
| 1487930731 | Sturgeon Rest Home, LLC | Custodial Care Facility | 315 E Stone St, Sturgeon, MO 65284-8907 | 2011-11-01 |
| 1598999716 | Eldercare Services, LLC | Custodial Care Facility | 125 Anna Ave, Troy, MO 63379-2402 | 2009-05-04 |
| 1528204203 | National Institute of Divine Science | Custodial Care Facility | 14508 Tramore Dr, 8, Chesterfield, MO 63017-8141 | 2008-12-30 |
| Find all providers with the same taxonomy | ||||
| City | EL DORADO SPRINGS |
| Zip Code | 64744 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.